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. 2015 Aug 10;3(7):e440. doi: 10.1097/GOX.0000000000000357

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Copyright © 2015 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License, where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially.

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Figure 1. — Surgical excision with adjuvant brachytherapy. Example of an auricular keloid scar (A) with surgical excision (B). C, A catheter is positioned between the dermal edges of the wound, below the surface of the skin and extending out of the skin beyond the wound. Postoperatively, the patient will be transferred to the radiation department for the adjuvant high-dose-rate brachytherapy (Source: van Leeuwen MC, Stokmans SC, Bulstra AE, et al. High-dose-rate brachytherapy for the treatment of recalcitrant keloids: a unique, effective treatment protocol. Plast Reconstr Surg. 2014;134:527–534).